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Individual
MS. LINDA MARIE BENOIT
Active
Individual
MS. LINDA MARIE BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114704
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015733
MEDICARE
MA
01
—
110089238A
MASS HEALTH
MA
01
—
114704
LICSW
MA
01
—
12057424
CAQH
—
05
—
1212249
—
MA
01
—
125781
ICADC
MA
01
—
1324AD
CADC
MA
Enumeration date
12/27/2006
Last updated
07/25/2021
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